Provider Demographics
NPI:1649956897
Name:CAROLINAS HEALTH SPECIALISTS LLC
Entity type:Organization
Organization Name:CAROLINAS HEALTH SPECIALISTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYES
Authorized Official - Suffix:
Authorized Official - Credentials:CPC
Authorized Official - Phone:843-292-0600
Mailing Address - Street 1:123 CLARET CUP WAY
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29414-8204
Mailing Address - Country:US
Mailing Address - Phone:610-564-2034
Mailing Address - Fax:
Practice Address - Street 1:1540 AMERICAN DR
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29505-6072
Practice Address - Country:US
Practice Address - Phone:610-564-2034
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-23
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty